At the hearing, Fratto, 67, nicknamed “the Chin,” told U.S. District Judge Harry Leinenweber that he occasionally sees a doctor and takes medicine for migraines, prompting the judge to ask him if he had suffered any migraines in the past few days.

“No, remarkably,” said Fratto, wearing a pinstriped suit over a V-neck sweater.

In pleading guilty to fraud, Fratto admitted he and co-defendant William Anthony Degironemo, who operated MidStates Equipment Rental and Sales, used confidential pricing information about competitors’ bids to undercut the competition and fraudulently win the contracts.

A consultant who owed $350,000 to organized-crime figures in Cleveland allegedly gave the information to Fratto in exchange for Fratto's offer to intervene with the Ohio mobsters, according to court documents.